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Laurieann Jacobs, PA

Physician Assistant in Buffalo, NY. Individual provider (NPI-1).

NPI number1346205366
StatusActive
Last updated in NPPESJun 12, 2020

Details

NPI
1346205366
Entity type
Individual (NPI-1)
Name
Laurieann Jacobs
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Apr 20, 2006
Certification date
Jun 12, 2020
Last updated
Jun 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant004166NYYes

Practice location

462 Grider St
Buffalo, NY 14215-3021

Phone 716-898-3000

Mailing address

462 Grider St
Buffalo, NY 14215-3021

Phone 716-898-3000

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